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ELECT't,ICAL PERMIT APF �ICATION-� <br /> CITY OF ►cVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> :25-257-8810 - FAX 425-257-8857 <br /> J�31 J��C-iNIA {����C <br /> PROJECT ADDRESS <br /> JESsoC' Ea�2('��sE5 �U�G� �,J{1 `t8 '.c�3 ��(25� �y'7-S�o <br /> Owner Mail Adtlwss City State2ip Phone <br /> -� SAnE ns A{3o�E '� <br /> Tenanl Mail Address City Stale2ip Phono <br /> E��c E�Ecr(zic �,�c Po. PpX 35'I �a����st1 wA 982�11 (:��SC�-�9ss <br /> Elect�ical Contracto� Mail Address Ciry Stote2ip Phone <br /> � <br /> �PT cEi -�E t�33LF 4-�0�1 � 6 Szn— -T�� s hn��.n� <br /> Sta�e License Number Conlract Price ol ork <br /> Sir16�E Fpy1��y �S�9f:NC� s'�E�,S �. 6���l <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Descriplion ot Work to Be Done: I�.C'QX �7sb �tQ '�l. �� F, (Z '�� /�-h'lP ��fl�o�a D <br /> SE�J iC� E�tcT��C FAN �CED '7PN� I-�F-A-i 1�G G-I�CT+eI C <br /> �F't�(��CES Lb�,`1 �/OC��`� Pl"rOr1E � Yv <br /> NOTE: PLANS FOR FLECTRICAL WORK AT EDUCATIONAL, FACILITIES UTILIZIN(i STATE FUNDS MUST 8E <br /> APPROVED BY THE 3TATE OF WASHINGTON. APPLICANTS WITH SUCH JOBS MUST SHOW THE STATE <br /> APPROVED PLANS BEFORE CITY OF EVERETT PERMIT WILL BE ISSUED. WAC 296-46•140. ALL OTHER <br /> EDUCATIONAL FACILITIES AND ALL HEALTH CARE FACILITIES PLANS W ILL BE HEVIEWED BY THIS OFFIC�. <br /> _ NO'fE: WIRING IN NON-D1VEI_L!NGS IS RE�UIRED TO BE IN RACEWAYS, MC OR AC CABLE. <br /> HANDICAPPED ACCESSIBILITY: ELECTRICAL AND COMMUNICATIONS SYSTEM RECEPTACLES ON WALLS <br /> WITHIN ACCESSIBLE SPACES OR ALOfJG ACCESSIBLE RCUTES OF TRAVEL SHALL BE MOUNTED A MINIMUM <br /> OF 15 INCHES ABOVE THE FLOOH. WAC 51-;'0 SEC. 3106(c)2. <br /> FNVIRONMENTAL AND OTHER CONTROL RECEPTACLES AND OTHER OPERABLE '=�UIPMENT WITHIN <br /> ACCESSIBLE SPACES OR ALONG ACCESSIBLE RUUTES OF TRAVEL SHALL BE MOUNTED WITHIN THE REACH <br /> RANGES OF WAC 51-20 SEC. 3106(b)4 E & F AND NOT LESS THAN 36 INCHES AROVE THE FLOOR. <br /> I HEFEBI' CEFTIFY THAT I HAVE FEAD AND ERAAilNEO THIS APPLIGITION AND KNOW THE SAfvlE 70 BE TRUE AND CORRECL ALL <br /> PFOVISIONS OF LALVS AND OFDLNPNCES GOVEFNING THIS TYPE OF WORK WILL BE COMPLETED WHETHEA SPECIFIED HEAEIN OR <br /> NOT, THE GRANTlfJ3 OF A PEFMIT OOES NOr PFESUh1E TO GIVE AUTHOFITY TO V(OLATE OR CANCEL i HE PROVISIONS OFANY OTHEF <br /> S7.-0TE OA LGCAL WW flEGULiTING CONSTFUCTION OR THE PEFFOFM1fANCE OF CCNSTRUCTION. THAT I AM11 AUTHORIZED BY THE <br /> OIYNEi,_CF 7HIS PROPERrY i0 PEFFOFhI THE t4'OFK FOR WHICN APPL;CATlON IS MADE AND I COMPLY lNlTH THE STATE <br /> w,VTi- C7pRS LAW 7H.27 FCW AND 2P6.200 bl'AC. <br /> �lr� �'\, •�� ��E> I T �Oy FEE — —G'�; <br /> - � �5 - <br /> Sign. ,ure Date <br /> DEBIT&CREDIT CARDS ARE NOT ACCEPTED E�yp(y-p�Z <br />